Pontine and basal ganglia hypertensive hemorrhages

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Uncontrolled hypertensive patient. Sudden onset loss of consciousness.

Patient Data

Age: 50 years
Gender: Female

Non-contrast CT demonstrates large pontine and left basal ganglia hemorrhages with extension of blood into the fourth, third, and lateral ventricles. There are also signs of obstructive hydrocephalus. 

Case Discussion

This case depicts typical brain hemorrhagic locations in a patient with clinical proved severe hypertensive episode favoring the diagnosis of hypertensive intracerebral hemorrhagesHypertension is known as the most common cause of intracerebral hemorrhages.

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